Kippy Macklin, in Salem, OR - Medicare Nurse Practitioner

Kippy Macklin, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Salem, Oregon. Her current practice location is 1675 Winter St Ne, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 585-0351.

Kippy Macklin is licensed to practice in Washington (license number AP61298980) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881332781.

Contact Information

	Kippy Macklin,
	1675 Winter St Ne, Salem, OR 97301-7152
	(503) 585-0351
	Not Available

Map and Direction

Provider's Profile

Full Name	Kippy Macklin
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1675 Winter St Ne, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881332781
Provider Enumeration Date: 05/22/2022
Last Update Date: 10/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5092717975
Enrollment ID: I20220824002435

Medical Identifiers

Medical identifiers for Kippy Macklin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881332781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10020345 (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61298980 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kippy Macklin allows following entities to bill medicare on her behalf.

Entity Name	Peninsula Psychological Center Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346274289 PECOS PAC ID: 1456321785 Enrollment ID: O20040726001320

Entity Name	Harbor Youth And Family Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205466265 PECOS PAC ID: 7012338981 Enrollment ID: O20200601002016

Entity Name	Hope Mental Wellness Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841928355 PECOS PAC ID: 9436534740 Enrollment ID: O20220921003665

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kippy Macklin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kippy Macklin, 150 S Wapak Rd, Lima, OH 45807-9404 Ph: (419) 234-1476	Kippy Macklin, 1675 Winter St Ne, Salem, OR 97301-7152 Ph: (503) 585-0351

Reviews and Comments

Nurse Practitioner Nurses in Salem, OR

Ashley Barth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-814-5554
Dr. Betty Ang, PH.D., PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1660 Oak St Se, Salem Va Outpatient Clinic, Salem, OR 97301 Phone: 503-316-8817 Fax: 503-316-9037
Mrs. Patricia Lynn Eich, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3180 Center St Ne, Salem, OR 97301 Phone: 503-588-5355 Fax: 503-585-4995
Lisa Renee Bennett, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Liberty St Ne, Salem, OR 97301 Phone: 503-581-6550 Fax: 503-581-4755
Curtis B Gill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-561-5554
Mr. Matthew David Piehler, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Silverton Rd Ne Ste B, Salem, OR 97301 Phone: 503-588-5351
Ms. Sharon L Espersen, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-585-5585 Fax: 503-587-7823

Kippy Macklin, - Medicare Nurse Practitioner in Salem, OR